Retrospective Study of Pregnancy Outcome after Laparoscopic Surgery for Infertile Women with Endometriosis

Junichi Nishimura, Naoki Yoshino, Narihisa Takahashi, Kazuhiko Yamamoto
In: JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY · 2012 · vol. 28(2) , pp. 677–681 · doi:10.5180/jsgoe.28.677 · W2314429322
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This retrospective study of 33 infertile women with endometriosis found that a peritoneal lesion score of 6 points was associated with a significantly lower pregnancy rate after laparoscopic surgery.

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This retrospective study examined factors associated with achieving pregnancy after laparoscopic surgery in 33 infertile women diagnosed with endometriosis, comparing outcomes between pregnant and non-pregnant participants using Fisher’s exact test and t-tests. Twenty-two of 33 women achieved pregnancy, and 14 of these pregnancies occurred within one year after surgery. No significant differences were found between pregnant and non-pregnant groups for age, endometrioma size, adhesion score, peritubal and periovarian adhesions, or posterior cul-de-sac obliteration, but pregnancy rates were significantly lower for a peritoneal lesion score of 6 compared with 0–2. The paper is centrally about endometriosis — it evaluates pregnancy outcomes after laparoscopic surgery and identifies peritoneal lesion score as a factor related to endometriosis-associated infertility.

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Abstract

Objective: To examine the factors that affect achieving a pregnancy following laparoscopic surgery for infertile women with endometriosis.Design: Retrospective studySetting: Department of Obstetrics and Gynecology, Shimane Prefectual Central HospitalPatients: A total of 33 infertile women with endometriosis underwent laparoscopic surgery.Main Outcome Measures: We compared a number of pertinent factors between pregnant and non-pregnant women. Statistical analyses were performed using Fisher's exact test and the Student's t-test. All results were considered statistically significant at P < 0.05.Results: Of 33 women who underwent laparoscopic surgery, 22 achieved a pregnancy. Among those 22 pregnant women, 14 women were pregnant within one year after laparoscopic surgery. No significant differences were found between pregnant and non-pregnant women regarding age, size of endometriomas, adhesion score, peritubal adhesions, periovarian adhesions, or posterior cul-de-sac obliteration. The pregnancy rate for women with a peritoneal lesion score of 6 points was significantly lower than that of women with a peritoneal lesion score of 0-2 points.Conclusions: We are of the opinion that the peritoneal lesion score directly correlates with endometriosis-associated infertility. Furthermore, laparoscopic surgery is useful for the treatment of women with to endometriosis-associated infertility.
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Abstract

Objective: To examine the factors that affect achieving a pregnancy following laparoscopic surgery for infertile women with endometriosis. Design: Retrospective study Setting: Department of Obstetrics and Gynecology, Shimane Prefectual Central Hospital Patients: A total of 33 infertile women with endometriosis underwent laparoscopic surgery. Main Outcome Measures: We compared a number of pertinent factors between pregnant and non-pregnant women. Statistical analyses were performed using Fisher's exact test and the Student's t-test. All results were considered statistically significant at P < 0.05.

Results

Of 33 women who underwent laparoscopic surgery, 22 achieved a pregnancy. Among those 22 pregnant women, 14 women were pregnant within one year after laparoscopic surgery. No significant differences were found between pregnant and non-pregnant women regarding age, size of endometriomas, adhesion score, peritubal adhesions, periovarian adhesions, or posterior cul-de-sac obliteration. The pregnancy rate for women with a peritoneal lesion score of 6 points was significantly lower than that of women with a peritoneal lesion score of 0-2 points.

Conclusions

We are of the opinion that the peritoneal lesion score directly correlates with endometriosis-associated infertility. Furthermore, laparoscopic surgery is useful for the treatment of women with to endometriosis-associated infertility. Design: Retrospective study Setting: Department of Obstetrics and Gynecology, Shimane Prefectual Central Hospital Patients: A total of 33 infertile women with endometriosis underwent laparoscopic surgery. Main Outcome Measures: We compared a number of pertinent factors between pregnant and non-pregnant women. Statistical analyses were performed using Fisher's exact test and the Student's t-test. All results were considered statistically significant at P < 0.05.

Results

Of 33 women who underwent laparoscopic surgery, 22 achieved a pregnancy. Among those 22 pregnant women, 14 women were pregnant within one year after laparoscopic surgery. No significant differences were found between pregnant and non-pregnant women regarding age, size of endometriomas, adhesion score, peritubal adhesions, periovarian adhesions, or posterior cul-de-sac obliteration. The pregnancy rate for women with a peritoneal lesion score of 6 points was significantly lower than that of women with a peritoneal lesion score of 0-2 points.

Conclusions

We are of the opinion that the peritoneal lesion score directly correlates with endometriosis-associated infertility. Furthermore, laparoscopic surgery is useful for the treatment of women with to endometriosis-associated infertility. © 2012 Japan Society of Gynecologic and Obstetric Endoscopy and Minimally Invasive Therapy Favorites & Alerts Recently viewed articles

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Condition tags

endometriosisinfertility

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Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (13)

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